Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Lee Hannibal

Individual provider Athletic Trainer · NPI 1275109662

Brian Lee Hannibal is an Athletic Trainer in Spokane, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

623 W Garland Ave
Spokane, WA 99205-2956
Phone: (509) 209-9488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence A161663014 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275109662
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 27, 2021
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address32832 N 14th Ave, Spirit Lake, ID 83869-7718

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